Wade Travis M.D.

NPI 1558452961 - Pediatrics - 208000000X

NPI Details
NPI 1558452961
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
36000 DARNALL LOOP
FORT HOOD TX, 76544-5095, US
Phone (254) 286-7700
Fax
Business Location
216 STARLIGHT TRL
GEORGETOWN TX, 78628-1975, US
Phone (512) 864-2151
Fax
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number K5721
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According to our database, Dr. Wade Travis M.D. NPI is 1558452961, taxonomy code is 208000000X and license number is K5721, license state is located at Texas. Wade Travis M.D. physically located at 36000 Darnall Loop, Fort Hood TX, 76544-5095. NPI Number Wade Travis M.D. has the Individual type.

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1558452961 NPI number is provided on an as is basis without warranty of any kind. 1558452961 is maintained by the National Plan & Provider Enumeration System. The contents of Wade Travis M.D. are for informational purposes only.